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JERRELL ROBERTSON
NPI 1770247561
Technician - Personal Care Attendant in Grand Rapids, MI

Active since October 27, 2021
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(248) 436-4400 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerrell Robertson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRELL ROBERTSON (NPI 1770247561) is an individual personal care attendant in Grand Rapids, Michigan and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1770247561
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameJERRELL ROBERTSON
Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336
Mailing Address1490 E Beltline Ave SeGrand Rapids, MI 49506-4336
Phone(248) 436-4400
Sole ProprietorNo
Enumeration DateOctober 27, 2021
Last NPPES UpdateMay 5, 2025
NPPES CertifiedMay 5, 2025
✔ NPI 1770247561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

1490 E BELTLINE AVE SE, Grand Rapids, MI 49506
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTIN J WAALKES
Psychologist (Clinical)
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
MS. JANE BOSTROM MAUGER N.P.
Nurse Practitioner
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
WILLIAM M SKINNER
Psychologist
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
NANCY KALINOWSKI
Social Worker
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
MS. CYNTHIA DAWN HALL MSPT
Physical Therapist
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
MRS. JILL M REICHARDT OTR
Occupational Therapist
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
MRS. JANICE NINI HARPE M.A.
Speech-Language Pathologist
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 940-0040
LISA ANN MILLER MA, LPC, CBIS
Counselor
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
Kent County (616) 464-0275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerrell Robertson's NPI number?

The NPI number for Jerrell Robertson is 1770247561. It was assigned to this individual provider in the NPPES registry on October 27, 2021.

Where is Jerrell Robertson located?

Jerrell Robertson practices at 1490 E Beltline Ave SE, Grand Rapids, MI 49506. The listed phone number is (248) 436-4400.

What is Jerrell Robertson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Jerrell Robertson was last updated on May 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.